The Outcome on Conservative Surgical Treatment of Adenomyosis

Abstract

Objective: To understand the outcome on conservative surgical
 treatment of adenomyosis.
 
 Methods: A retrospective cohort study followed for 2 years from
 2010 to 2012 of women with adenomyosis were diagnosed by
 transvaginal sonography and confirmed histologically. Subjects divided
 into women who were treated by adenomyosis resection
 (with/without Osada’s technique) and who were underwent hysterectomy.
 
 Results: After the surgery, as many as 40 patients (81.63%) did not
 feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the
 fertility outcome, we had 8 patients (20.51%) getting pregnant naturally
 without any fertility intervention. Two patients (5.13%) had
 successfully conceived by IVF. According to the type of surgery, from
 8 natural pregnancy, 7 patients (87.50%) was underwent conventional
 resection of adenomyosis and 1 patients (12.50%) underwent
 Osada’s procedures. Two patients who were conceived by IVF, both
 of them were underwent Osada’s resection.
 
 Conclusion: Adenomyosis resection both conservative or Osada’s
 procedures actually has a better outcome for relieving pain; therefore,
 some patients can still have a child.
 
 Keywords: adenomyosis resection, conventional resection, infertility,
 Osada’s procedure